Fit For Life Penang

Registration Form

Full Name
I.C / Passport No
(Without the "-")
Address
 
 
Post Code
City
State
Tel No.
Mobile No.
Email
Date of Birth
Age
Marital Status
Single Married
Gender
Male Female
Race  
Nationality
Occupation   
T-Shirt Size
Closing Date:
October 31, 2017 (Monday) or 5,000 entries (whichever is earlier)

* Minimum age: 13 years and above.

* T-shirt collection at SPICE Arena, on November 17th & 18th, 2017 between 10.00am to 5.00pm

* T-shirt sizes available while stocks last and not exchangeable.

Entry Fee : RM 20 (inclusive of GST)


  The Organisers, Fit For Life Fun Run 2017
I agree to abide by the conditions and rules of the Event. I declare that the details given are correct and I am physically fit and sufficiently trained to finish the Fit For Life Fun Run. I will attempt to complete the Fit For Life Fun Run within the time limit.

ATHLETES: WAIVER/INDEMNITY:

In consideration of the Organiser accepting this entry, I upon entry and registration to participate in the above Fit For Life Fun Run, hereby by myself, my heirs, executors and administrators, waive and release any and all rights or claims to damages I may have against the Organisers holding this Fit For Life Fun Run, their agents, representatives, successors, assignees, sponsors and co-sponsors for any and all injuries, death and invalidity I may sustain during the course of the event or arising as a result of it.

I hereby indemnify you and keep you indemnified and waived against all claims or damage that arise in the consequence of the above.

FOR PARTICIPANTS UNDER 18 YEARS OF AGE

I parent/guardian of the participant, whose particulars appear above, confirm, that I fully understand and appreciate the effect of the above waiver and hereby agree and declare on behalf of the participant that the purport of the Waiver Clause will have equal binding effect on the participant.

I hereby consent to his/her participation in the above Event.
 
Name I/C No
Contact No

In view of the implementation of the Personal Data Protection Act 2010, by participating in Fit For Life Fun Run, I hereby expressly grant the Star Media Group Berhad, its affiliates and partners and/or advertisers the consent to collect, process and use my personal information including (but not limited to) names, contact information and/or photographs (collectively, “Personal Data”) for future advertising and publicity purposes in any media without additional compensation, notification or permission.

I also hereby agree to receive the latest information about products, news and events updates, rewards and promotions, special privileges and initiatives from Star Media Group Berhad, its affiliates, partners and/or advertisers and agree to the terms & conditions of the walk. If you wish to correct the Personal Data or to withdraw your consent, please email to northevents@thestar.com.my.

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A confirmation slip will be sent to your registered email upon successful registration.
Payment via credit/debit card (Master/Visa) only. Click submit to proceed for payment.
 
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